| NPI | 1154728731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ANNE VIVEIROS Billing Manager 508-675-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 9396) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |